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Objective:  To examine the relationship between demographics, other tobacco use, and JUUL dependency on combustible cigarette use among college JUUL users.  Participants:  Undergraduates (n = 595) at a large southwestern university who used JUUL weekly completed a cross-sectional online survey in March 2019.  Methods:  Logistic regressions examined associations between covariates and ever use/past 30-day use of cigarettes.  Results:  As age increased, odds of ever trying a cigarette increased (AOR = 1.87; 95% CI = 1.45–2.41); however, as age of JUUL initiation increased, odds of ever (AOR = 0.80; 95% CI = 0.65–0.99) or past 30-day (AOR = 0.78; 95% CI = 0.63–0.97) cigarette use decreased. Those moderately (AOR = 2.03; 95% CI = 1.07–3.82) or highly (AOR = 8.01; 95% CI = 3.08–20.83) dependent on JUUL were more likely to have tried cigarettes than those not dependent. However, dependence was not associated with past 30-day use.  Conclusions:  JUUL users may not transition to combustible cigarettes during college. Longitudinal studies are needed to examine transitions in JUUL users’ tobacco product use after college.

Potential risk factors for cigarette use among a sample of college JUUL users